2018-2019 Unusual Enrollment History Form

2018-2019 Unusual Enrollment History Form

Name:

UCO ID:

Date of Birth:

Phone Number:

Your 2018-2019 Free Application for Federal Student Aid (FAFSA) has been flagged for "Unusual Enrollment History Review" by the U.S Department of Education because you received Federal funds at multiple education institutions during the review period ? 2014-15, 2015-16, 2016-17, and 201718. This flag requires the University of Central Oklahoma (UCO) to review your enrollment history and determine whether or not you are enrolling only long enough to receive cash refunds of federal student aid.

In the process of reviewing your enrollment history, UCO will check the National Student Loan Database System (NSLDS) to obtain a complete history including the name of the institutions you have attended and the dates of attendance.

If you have questions, contact us promptly so that your financial aid will not be delayed. (osfa@uco.edu)

Colleges or Universities Attended: Student's Income Information

Please list all institutions (including UCO) attended during the academic periods that include 2014-2015, 2015-2016, 2016-2017, and 2017-2018. Please send an official academic transcript to the Office of Undergraduate Admissions for each of the prior schools listed excluding UCO if you have not already done so. Also, for each college listed attach a separate explanation if you failed to earn any academic credit at that college. Attach any additional documentation (i.e., medical bills, hospitalization records, accident reports, etc.) that supports your reason for withdrawal. Please make sure to include your UCO Student ID# at the top of each page or document you submit. Your application for financial aid will not be considered until you submit this completed form and all required documentation to our office. If you did not attend a term, please note "N/A" in the "name of college or university column".

Dates of Attendance

Fall 2014 Spring 2015 Summer 2015

Fall 2015 Spring 2016 Summer 2016

Fall 2016 Spring 2017 Summer 2017

Fall 2017 Spring 2018 Summer 2018

Name of College or University

Types of aid received (e.g. Pell Grant, Loan, etc.)

Certification/Signature: The student and at least one parent who completed the FAFSA must sign this form. If you purposely give false or misleading information on this worksheet, you may be fined, be sentenced to jail, or both. By signing this form, I/we certify that all the information reported to qualify for federal student aid is complete and correct.

Student Signature

Date

Spouse's Signature (Optional)

Date

UCO Office of Student Financial Services 100 N. University Dr. Box 162 Edmond, OK 73034 Phone: 405-974-2727 osfa@uco.edu

Sensitive information, such as tax documents, and other personal identifiable information should be encrypted for protection when sent via email.

Page 1 of 1

For Official Use Only

T___________ S_____________ I____________ C_____________ E____________

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download